| NPI | 1952304875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: CT 6281) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: WA 1963) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-08-13 |